Is J14 a billable ICD-10-CM code?

Yes. J14 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J14 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Influenza and pneumonia (J09-J18).

What cannot be coded together with J14?

J14 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

J14

J14 — Pneumonia due to Hemophilus influenzae

Billable / specific codeICD-10-CM

J14 is a billable, specific ICD-10-CM code for pneumonia due to hemophilus influenzae. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital pneumonia due to H. influenzae (P23.6)

Code first

The underlying condition must be sequenced before this code.

, if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable, any associated condition such as:
abscess (J85.1)
aspiration pneumonia (J69.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Bronchopneumonia due to H. influenzae

Risk adjustment

J14 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

J14 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52466Nebulizers - Policy Article
A52466Nebulizers - Policy Article
A52466Nebulizers - Policy Article
A52466Nebulizers - Policy Article

How J14 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J14.

Pneumonia›Hemophilus influenzae(broncho) (lobar)
Pneumonia›broncho-, bronchial›Hemophilus influenzae
Pneumonia›in›Hemophilus influenzae(H. influenzae)
Pneumonia›lobar›Hemophilus influenzae

Questions about J14

Is J14 a billable ICD-10-CM code?: Yes. J14 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J14 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Influenza and pneumonia (J09-J18).
What cannot be coded together with J14?: J14 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.